Most Relevant Information
Provider Data
| NPI Number: | 1003407966 |
| Provider Name: | BRANDY WATTS MATHESON NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 5014177 |
Most Important Dates
| Enumeration Date: | 02/02/2021 |
| Last Updated: | 07/15/2024 |
Provider Practice Location
320 JEFFERSON ST
WHITEVILLE
NC
284723602
Practice Location Phone/Fax
| Phone: | 9106425832 |
| Fax: |
Provider Mailing Location
PO BOX 19305
CHARLOTTE
NC
282199305
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |